LIFETIME WELLNESS, INC. (NPI# 1174714265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174714265 |
| Entity Type | Organization |
| Organization Name | LIFETIME WELLNESS, INC. |
| Practice Address |
1675 Upland Ave Boulder CO 80304-0830 |
| Mailing Address |
Po Box 876 Niwot CO 80544-0876 |
| Practice Telephone | 3035896802 |
| Mailing Telephone | 3035890680 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |
| Authorized Official Name | DIANE B BYINGTON (PRESIDENT) |
| Authorized Official Telephone | 3035896802 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 992045 | CO | Agencies |
| Street Address |
1675 UPLAND AVE |
| City | BOULDER |
| State | CO |
| Zip Code | 80304-0830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518158583 | Diane B. Byington | Social Worker | 1675 Upland Ave, Boulder, CO 80304-0830 | 2007-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720605256 | Evol.v Chiropractic LLC | Chiropractor | 2401 Broadway #208, Boulder, CO 80304 | 2020-07-01 |
| 1760038723 | Patrica Anne Zeyher | Counselor | 100 Alpine Ave., Boulder, CO 80304 | 2019-08-15 |
| 1356855928 | Opal Counseling Center, LLC | Counselor | 1480 Lee Hill Dr. #7, Boulder, CO 80304 | 2017-11-19 |
| 1831608603 | Lesley Ann Cloke | Dietitian, Registered | 1895 Bluff St., Unit C, Boulder, CO 80304 | 2017-09-25 |
| 1790209740 | Megan Litwiller | Occupational Therapist | 810 Maxwell Ave, Boulder, CO 80304 | 2017-08-01 |
| 1285163774 | Nadine Martin | Registered Nurse | 311 Mapleton Ave # 331, Boulder, CO 80304 | 2017-06-08 |
| 1598119281 | Megan Cronin Larson | Social Worker | 825 S. Broadway Street, Boulder, CO 80304 | 2016-04-19 |
| 1760844237 | Rafia Rebeck | Counselor | 1235 Elder Ave #7, Boulder, CO 80304 | 2016-03-24 |
| 1629441688 | Jennifer S Delaney | Counselor | 2334 Broadway, Ste. B, Boulder, CO 80304 | 2015-11-12 |
| 1891162301 | Kingston Dialysis LLC | Clinic/Center | 2880 Folsom St Ste 110, Boulder, CO 80304 | 2015-09-01 |
| Find all providers in zip 80304 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558984005 | Brilliantly Sane Counseling and Coaching LLC | Community/Behavioral Health | 1600 Bradley Ct, Boulder, CO 80305-7310 | 2020-05-19 |
| 1659761468 | Eve Byrnes, LLC | Community/Behavioral Health | 8778 Arapahoe Rd, Boulder, CO 80303-1677 | 2015-02-01 |
| 1336550235 | Living Well Transitions | Community/Behavioral Health | 1320 Pearl St Ste 320, Boulder, CO 80302-5370 | 2014-05-13 |
| 1578804068 | Valerie Grant Ltd. | Community/Behavioral Health | 3447 Iris Ct, Boulder, CO 80304-1827 | 2013-03-07 |
| 1699031062 | Attachment & Bonding Network | Community/Behavioral Health | 4141 Arapahoe Ave Ste 200, Boulder, CO 80303-1032 | 2012-04-10 |
| 1528336823 | Singer Group, Inc. | Community/Behavioral Health | 1790 30th St Ste 305, Boulder, CO 80301-1020 | 2011-12-01 |
| 1477792885 | Chrysalis Counseling | Community/Behavioral Health | 1790 30th St Ste 304, Boulder, CO 80301-1037 | 2009-02-09 |
| 1326217167 | Mental Health Center of Boulder | Community/Behavioral Health | 3400 Broadway St, Boulder, CO 80304-1824 | 2008-02-26 |
| 1649399817 | George A Garry | Community/Behavioral Health | 5884 N Orchard Creek Cir, Boulder, CO 80301-5834 | 2007-03-28 |
| 1831265081 | Recover Resource Center | Community/Behavioral Health | 2737 Mapleton Ave, # 103, Boulder, CO 80304-3835 | 2006-11-28 |
| Find all providers in BOULDER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.